Organization Active NPI

Dr. Price Chiropractic Inc

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1700104585
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC12023 Issued in CA
Legal business name
DR. PRICE CHIROPRACTIC INC
Practice address
5336 Fountain Avenue
Los Angeles, CA 90029-1005
Phone
(323) 467-5200
Fax
(323) 467-1952
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Stephen Don Price, D.C.NPI 1669896585
Title
Owner/President
Phone
(323) 467-5200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC12023 CA Primary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X DC15537 CA

Addresses

Primary practice location

5336 Fountain Avenue
Los Angeles, CA 90029-1005

Mailing address

5336 Fountain Avenue
Los Angeles, CA 90029-1005
Phone (323) 467-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002785 CA Part B Supplier - Clinic/Group Practice 5092010843 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1700104585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5336 FOUNTAIN AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291005",
            "telephone_number": "323-467-5200",
            "fax_number": "323-467-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5336 FOUNTAIN AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900291005",
            "telephone_number": "323-467-5200",
            "fax_number": "323-467-1952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. PRICE CHIROPRACTIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "323-467-5200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC12023",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC15537",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.